| NPI | 1760950844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61359090) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61000533) |
| 104100000X Social Worker (Licence: WA SC61181736) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2023-01-09 |